Black men who have sex with men and women (BMSMW) are at increased HIV risk, but few efficacious interventions meet their unique needs, according to a recent study. 3 HIV prevention interventions were evaluated with a common protocol. BMSMW from Los Angeles, Philadelphia, and Chicago who reported sexual risk and bisexual behavior in the past year were recruited. Baseline assessments were conducted via audio computer-assisted interview and sexual behaviors assessed over the past 3 months. From December 2010 to November 2012, 584 BMSMW were enrolled across the 3 cities; more than half (55%) were recruited by other participants (mean age: 43 years). Researchers found:

75% reported an annual income <$10,000 and selling sex was prevalent (31%).

Three-quarters identified as bisexual.

39% were HIV-positive.

Among HIV-positive participants, 46% reported sex without condoms with HIV-negative or unknown male partners and 45% with HIV-negative or unknown female partners.

Joseph HA, Pan Y, Mendoza M, et al. HIV acquisition and transmission potential among African American men who have sex with men and women in three U.S. cities. [Published online ahead of print November 9, 2017]. Arch Sex Behav. doi:10.1007/s10508-017-1052-z.